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The following states reflect the GMC-defined states; 

  • The GMC states can be used to filter / sort the trainees on the summary page and are automatically applied dependent on whether an episode has been added for a trainee who is under notice, or an episode has been submitted 

  • The progress states/ TIS/GMC Status can be used to trigger actions for other Admins and are automatically applied - they will only be shown in the detail page

GMC

outcome “Outcome”

Status (In summary page)/ “Outcome” (in doctor’s history- latest)

TIS status “Status”

Recommendation type

‘Recommendation' (in doctor’s history)

Rules

Comments

Under notice (this is applied when GMC submission due date is applied)

  • Empty

  • Not started

OR

  • Draft

If TIS Status is Draft;

  • Defer

OR

  • Revalidate

OR

  • Non-engagement

  • Auto-applied when GMC submission due date is added- Adewale Adekoya to confirm date when doctor comes under notice. Doctors comes “Under Notice” 12 months prior to their submission date (it was initially from 4 months). 

  • Auto-applied when Admin saves recommendation in draft

Episode is editable

Only displayed where the last submitted Reval episode is not

  • Under review

  • Approved

  • Rejected
    • For TIS status ‘Not Started’, user should have ability to create recommendation only

    • For TIS Status ‘Draft’, user should have ability to edit recommendation only.

    There is still an issue with the app behaviour around this.

    Jira Legacy
    serverSystem Jira
    serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
    keyTIS21-5376

    • Under review

    • Submitted to GMC

    • Defer

    OR

    • Revalidate

    OR

    • Non-engagement

    • Auto-applied when Admin

    selects
    • create recommendation and submits to GMC

    • If recommendation has been created but episode has not yet been submitted, then it remains as “Draft”

    • Episode

    is ineditable once submittedUnder notice
    • becomes ineditable if submitted to GMC

    • User will not have ability to edit or create recommendation except if not submitted to GMC and episode will be saved as draft automatically.

    • Doctor’s recommendation stays ‘Under Notice’ until GMC Status changes to ‘Approved’.

    This has been implemented fully

    If submission fail to deliver to GMC

    • Empty

    • Draft

    • Defer

    OR

    • Revalidate

    OR

    • Non-engagement

    • Applied when GMC submission fails to be delivered

    Episode is editable again

    Under review (ahead of decision being made by GMC)

    Submitted to GMC

    Defer

    Revalidate

    Non-engagement

    Applied when Admin clicks submit and episode is successfully sent to GMC

    Episode is ineditable; this confirms that GMC has received recommendation

    Approved

    Rejected

    Complete

    Defer

    Revalidate

    Non-engagement

    Applied when GMC responds

    Note: the GMC “Approved” and “Rejected” are not statuses, they are actually outcomes, to be placed in the Outcomes column.

    Episode is ineditable

    Rejection - offline mitigation with local office & trainee << TBC w/admins

    Questions

    ...

    Are stakeholders happy with the wording?

    ...

    • Pop up a warning that the submission failed

    • Rules for ‘Draft’ TIS Status and empty GMC status applies

    This has been implemented fully

    • Approved

    OR

    • Rejected

    • Complete

    • Defer

    OR

    • Revalidate

    OR

    • Non-engagement

    • If ‘Approved’,

      • Doctor is moved from ‘Under Notice’ to All doctors

      • Doctors in ‘All doctors’ but not ‘Under Notice’, user should not have ability to create or edit recommendation. In this case, the doctor don’t move away immediately, we have to ask GMC if it’s approved or rejected which we do 3 times a day. It then move after the overnight sync.

      • If last outcome is ‘Approved’, and moved back to ‘Under Notice’,

        • user should have ability to create recommendation AND doctor’s details should show history of Recommendations

        • The GMC Status should be empty and TIS status should be ‘Not Started’

    • If rejected,

      • Doctor moves out of ‘Under Notice’

      • Doctor immediately move back to ‘Under Notice’ (because this is the behaviour in GMC connect)

        • GMC Status: empty

        • TIS Status: Not started

    For Approved: This has been implemented fully

    For Rejected: This has been implemented fully

    Rob Pink We need to remind users around the timing i.e. the Overnight sync jobs must happen for this to reflect on Reval App.


    Questions

    1. Are stakeholders happy with the wording?

    2. Which value should be displayed on front end? Recommend the TIS status

    Our findings/Confusions (7 March 2023, Yafang, Steve and Jay) Yafang Deng Steven Howard Jayanta Saha Joseph (Pepe) Kelly Rob Pink catherine.odukale (Unlicensed)

    1. If a doctor is deferred and it is “approved” by GMC and the doctor will stay in Under notice tab with a new GMC due date: BA mind: Any approved doctor (either defer/revalidate) by GMC; the doctor is expected to move away from the under notice tab to ‘All doctors' tab by GMC. It now depends on when GMC move the doctor back to 'Under Notice’ with a new submission due date.

      1. If GMC status is “approved” for the deferral revalidation, in the Recommendation summary page the doctor’s GMC status should be “empty”? BA mind: If in ‘all doctors’ tab, Yes but if still ‘under Notice’ the GMC status should still have the ‘approved’

      2. If GMC status is “rejected” for the deferral revalidation, in the Recommendation summary page the doctor’s GMC status should be what? BA mind: If in ‘all doctors’ tab, Empty but if still ‘under Notice’ the GMC status should still have the ‘Rejected’.

    2. If a doctor is “revalidate” (non deferral recommendation type) and it is “approved” by GMC, during the nightly sync job (UnderNotice= value “Yes”, “No”, “On Hold”) will the doctor be moved away from “Under Notice” tab? BA mind: I want to think so and I don’t think our system wait for the night sync, the status refresh is updated at some hours intervals, I want to think moving doctors away from under notice depend on GMC not our system. Our system only get the update from GMC.

    3. By the checkRecommendationStatus api we are enquiring GMC for recommendation status several times a day and if the GMC provides us the Status “Approved” or “Rejected” and the doctor will stay under notice until the nightly sync job runs; BA mind: I want to think moving doctors away from under notice depend on GMC not our system. Our system only get the update from GMC

    4. References to past ticket: 1.

      Jira Legacy
      serverSystem Jira
      serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
      keyTIS21-2545
      2.
      Jira Legacy
      serverSystem Jira
      serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
      keyTIS21-2120
      3.
      Jira Legacy
      serverSystem Jira
      serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
      keyTIS21-2075
      5.
      Jira Legacy
      serverSystem Jira
      serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
      keyTIS21-2086
      6.
      Jira Legacy
      serverSystem Jira
      serverId4c843cd5-e5a9-329d-ae88-66091fcfe3c7
      keyTIS21-987

    Rob Pink You might want to verify my answers with Users

    Adewale Adekoya Rob Pink For your kind perusal.

    Determining GMC & TIS Status

    a.k.a. Pepe plays an analyst & SME

    Definitions:

    • GMC Status: This describes what state/stage a Recommendation authored in Revalidation is in it’s lifecycle.
      It is determined by whether it has or hasn’t been submitted
      As of , a Recommendation follows a directed flow of ???//TODO: Detangle which RecommendationStatus fields are used as part of Recommendation and which are the TIS Status??? … this is likely to be something like:

    DRAFTSubmitted → { Approved OR Rejected }

    • TIS Status: This describes what stage a Doctor is at in the Revalidation cycle.
      It is determined by a combination of whether the GMC define them as “Under Notice” and the status of a Recommendation for the current “Under Notice” period *There are bound to be edge cases in here and a need to refine this.
      As of , a doctor will typically progress through the following ???//TODO: Detangle which RecommendationStatus fields are used as part of Recommendation and which are the TIS Status???

    • Latest Recommendation: The recommendation which was began being written in Reval when. N.B. There should only ever be 0 or 1 “Draft” recommendations but some legacy “Drafts” exist and new ones may become legacy where the Under Notice information changes after a Recommendation is written but before it is submitted.

    Doctor Under Notice (from the GMC)

    Doctor Submission Due Date (from the GMC)

    Recommendations recorded for the Doctor

    Then we set

    GMC Status

    TIS Status

    Yes

    Today + 11 months

    1. “Past”:

      1. Outcome: Under Review

      2. Started: Yesterday

      3. Submitted: Yesterday

      4. Doctor Due Date when started: Yesterday

    Null/Blank

    Not Started

    Yes

    Today + 11 months

    1. “Past”:

      1. Started: Yesterday

      2. Submitted: Null

      3. Doctor Due Date when started: Yesterday

    2. “Current”:

      1. Started: Yesterday

      2. Submitted: Null

      3. Doctor Due Date when started: Today + 11 months

    Null/Blank

    Draft

    Yes

    Yesterday

    1. “Current”:

      1. Outcome: Rejected

      1. Started: Today

      2. Submitted: Today

      3. Doctor Due Date when started: Yesterday

    Rejected

    Complete